分水岭脑梗塞的诊断和介入治疗临床分析  

The clinic research on diagnosis and CT or endovascular treatment on cerebral brain watershed infarction

作　　者：杨咏波[1] 那世杰[1] 李海燕[2] 黄玉杰[1] 申杰[3] 王斌[1] 

机构地区：[1]南京大学医学院附属鼓楼医院神经外科,江苏南京210008 [2]邯郸市中心医院放疗科,河北邯郸056002 [3]姜堰市人民医院神经外科,江苏姜堰225500

出　　处：《西部医学》2009年第11期1904-1905,1908,共3页Medical Journal of West China

摘　　要：目的探讨分水岭脑梗塞的临床特点、发病机制及影像学表现,并评价介入治疗效果。方法分析19例分水岭脑梗塞患者的临床资料。结果介入治疗后所有狭窄的动脉直径恢复至80%以上,随访93.3%病人未出现新鲜梗塞。术后6.7%支架处再狭窄。结论分水岭脑梗塞的特点是以轻度脑功能障碍为主,CT与MRI影像学表现特殊。脑血管造影和介入治疗脑动脉狭窄是诊断治疗分水岭脑梗塞的有效手段,烟雾病人可发生分水岭脑梗塞。Objective To evaluate clinic features, mechanism, image characteristic and effect of endovascular treatment on cerebral brain watershed infarction （CBWI）. Methods Clinic features, mechanism image characteristic and effect of endovascular treatment of nineteen patients were retrospectively analyzed. Results All the tenosis arteries recovered more than 80% after operation. There were 6.7% with reinfarction. Conclusion Cerebral brain watershed infarction has special characteristic in CT and MRI image. It is effective to treat cerebral brain watershed infarction with endovascular method.

关 键 词：分水岭脑梗塞 动脉狭窄 介入治疗 

分 类 号：R651.12[医药卫生—外科学]